NPIMap

Individual provider Active NPI

Dewey Le, DO

  • Neurology Physician
  • Kingwood, TX
National Provider Identifier
1447454012
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M4850 Issued in TX
Practice address
320 Kingwood Executive Dr Ste E
Kingwood, TX 77339-2769
Phone
(281) 359-5981
Fax
(281) 359-3591
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X M4850 TX Primary

Addresses

Primary practice location

320 Kingwood Executive Dr Ste E
Kingwood, TX 77339-2769

Mailing address

PO Box 9547
Belfast, ME 04915-9547
Phone (281) 359-5981

Other identifiers 4

IdentifierTypeStateIssuer
191031702MedicaidTX
8AQ460OtherTXBCBS
01221746OtherAMERIGROUP
7103954OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000749 TX Practitioner - Neurology 1557451549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of North Texas HSC, College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Neurology and Sleep PAGroup PAC ID 9436105863, 2 clinicians

Practice addresses (Care Compare)

320 Kingwood Executive Dr
Suite E
Kingwood, TX 77339-2769
Phone 2813595981223

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as individual
Quality
68.39
Promoting interoperability
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Neurology PA Neurology CurrentSince Nov 24, 2024 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

320 Kingwood Executive Dr
Ste E
Kingwood, TX 77339
Phone (281) 359-5981

Interoperability endpoints

  • Direct secure messaging: dewey.le.1@2618.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1447454012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9547",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159547",
            "telephone_number": "281-359-5981",
            "fax_number": "281-359-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGWOOD EXECUTIVE DR STE E",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392769",
            "telephone_number": "281-359-5981",
            "fax_number": "281-359-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DEWEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M4850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191031702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AQ460",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01221746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7103954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.